After destruction of the eye, a glass eye is sufficient prosthesis unless the eyelids are also missing. Patients who require only a glass eye do not present themselves at the prosthetic laboratory. Most commonly a prosthesis is required after surgical exenteration of the entire orbital contents. The patient is confronted with a number of choices : (a) to flaunt the defect, walking about with it visible and making no effort to conceal it ; (b) to hide the defect with a bandage, and (c) to substitute a prosthesis for the lost organ or portion of an organ.
A prosthesis for the orbit should not be made until the skin of the area is adequately healed, unless provision is made on the under surface of the prosthesis for protection of any raw or granulating areas. Figure 1 shows a 20 year old woman who had had exenteration of the entire orbital contents for